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NORTHERN ILLINOIS NEPHROLOGY
NPI 1205054533
Specialist in Rockford, IL

Active since April 23, 2007
1340 CHARLES ST, SUITE 400, ROCKFORD, IL 61104(815) 398-9590(815) 398-9591 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northern Illinois Nephrology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHERN ILLINOIS NEPHROLOGY (NPI 1205054533) is a healthcare organization registered as a specialist in Rockford, Illinois and active in the NPI registry since April 2007. The organization lists David L Wright, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205054533
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNORTHERN ILLINOIS NEPHROLOGY
Location Address1340 CHARLES ST, SUITE 400Rockford, IL 61104-2200
Mailing Address1340 Charles St, Suite 400Rockford, IL 61104-2200 · (815) 398-9590 · Fax (815) 398-9591
Phone(815) 398-9590
Fax(815) 398-9591
Organization SubpartNo
Authorized OfficialDavid L WrightCeo · (815) 398-9590
Enumeration DateApril 23, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1205054533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1340 CHARLES ST, Rockford, IL 61104
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. REBEKAH D MEYERS PT
Physical Therapist
1340 CHARLES ST, SUITE 100
ROCKFORD, IL 61104
Winnebago County (815) 399-1975
KELLY S. RASMUSSEN NP
Nurse Practitioner
1340 CHARLES ST
ROCKFORD, IL 61104
Winnebago County (779) 696-5888
MS. KATHLEEN EDNA WILLIAMS APRN
Nurse Practitioner
1340 CHARLES ST, STE 201
ROCKFORD, IL 61104
Winnebago County (779) 696-8799
DR. STEVEN MILOS M.D.
Orthopaedic Surgery (Sports Medicine)
1340 CHARLES ST, SUITE 100
ROCKFORD, IL 61104
Winnebago County (779) 696-1900
JOHN RUSSELL
Nurse Practitioner
1340 CHARLES ST, SUITE 300
ROCKFORD, IL 61104
Winnebago County (779) 696-8800
SIRIVANH PHOMVANSI GAMEZ P.T.
Physical Therapist
1340 CHARLES ST, SUITE 100
ROCKFORD, IL 61104
Winnebago County (815) 399-1975
THOMAS J DANAHER MD
Orthopaedic Surgery
1340 CHARLES ST, STE 100
ROCKFORD, IL 61104
Winnebago County (779) 696-1900
DREW W PEARSON APN
Nurse Practitioner
1340 CHARLES ST
ROCKFORD, IL 61104
Winnebago County (779) 696-8700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northern Illinois Nephrology's NPI number?

The NPI number for Northern Illinois Nephrology is 1205054533. It was assigned to this organization in the NPPES registry on April 23, 2007.

Where is Northern Illinois Nephrology located?

Northern Illinois Nephrology is located at 1340 Charles St Suite 400, Rockford, IL 61104. The listed phone number is (815) 398-9590.

What is Northern Illinois Nephrology's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Northern Illinois Nephrology was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.